ASPEN LEAF DENTISTRY, P.C. 401K PLAN AND TRUST
|
2010
|
841548333
|
2011-10-17
|
ASPEN LEAF DENTISTRY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706740250
|
Plan sponsor’s
address |
1190 WEST ASH STREET, SUITE B, WINDSOR, CO, 80550
|
Plan administrator’s name and address
Administrator’s EIN |
841548333 |
Plan administrator’s name |
ASPEN LEAF DENTISTRY, P.C. |
Plan administrator’s
address |
1190 WEST ASH STREET, SUITE B, WINDSOR, CO, 80550 |
Administrator’s telephone number |
9706740250 |
|
ASPEN LEAF DENTISTRY, P.C. 401K PLAN AND TRUST
|
2010
|
841548333
|
2011-08-26
|
ASPEN LEAF DENTISTRY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706740250
|
Plan sponsor’s
address |
1190 WEST ASH STREET, SUITE B, WINDSOR, CO, 80550
|
Plan administrator’s name and address
Administrator’s EIN |
841548333 |
Plan administrator’s name |
ASPEN LEAF DENTISTRY, P.C. |
Plan administrator’s
address |
1190 WEST ASH STREET, SUITE B, WINDSOR, CO, 80550 |
Administrator’s telephone number |
9706740250 |
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
STEVEN M FREDERICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-26 |
Name of individual signing |
STEVEN M FREDERICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASPEN LEAF DENTISTRY, P.C. 401K PLAN AND TRUST
|
2010
|
841548333
|
2011-03-30
|
ASPEN LEAF DENTISTRY, P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706740250
|
Plan sponsor’s
address |
1190 WEST ASH STREET, SUITE B, WINDSOR, CO, 80550
|
Plan administrator’s name and address
Administrator’s EIN |
841548333 |
Plan administrator’s name |
ASPEN LEAF DENTISTRY, P.C. |
Plan administrator’s
address |
1190 WEST ASH STREET, SUITE B, WINDSOR, CO, 80550 |
Administrator’s telephone number |
9706740250 |
Signature of
Role |
Plan administrator |
Date |
2011-03-30 |
Name of individual signing |
STEVEN M. FREDERICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-30 |
Name of individual signing |
STEVEN M. FREDERICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASPEN LEAF DENTISTRY, P.C. 401K PLAN AND TRUST
|
2009
|
841548333
|
2010-06-01
|
ASPEN LEAF DENTISTRY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9706740250
|
Plan sponsor’s
address |
1190 WEST ASH STREET, SUITE B, WINDSOR, CO, 80550
|
Plan administrator’s name and address
Administrator’s EIN |
841548333 |
Plan administrator’s name |
ASPEN LEAF DENTISTRY, P.C. |
Plan administrator’s
address |
1190 WEST ASH STREET, SUITE B, WINDSOR, CO, 80550 |
Administrator’s telephone number |
9706740250 |
Signature of
Role |
Plan administrator |
Date |
2010-06-01 |
Name of individual signing |
STEVEN M. FREDERICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-01 |
Name of individual signing |
STEVEN M. FREDERICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|